cms_AK: 63

In collaboration with The Seattle Times, Big Local News is providing full-text nursing home deficiencies from Centers for Medicare & Medicaid Services (CMS). These files contain the full narrative details of each nursing home deficiency cited regulators. The files include deficiencies from Standard Surveys (routine inspections) and from Complaint Surveys. Complete data begins January 2011 (although some earlier inspections do show up). Individual states are provides as CSV files. A very large (4.5GB) national file is also provided as a zipped archive. New data will be updated on a monthly basis. For additional documentation, please see the README.

Data source: Big Local News · About: big-local-datasette

This data as json, copyable

rowid facility_name facility_id address city state zip inspection_date deficiency_tag scope_severity complaint standard eventid inspection_text filedate
63 WRANGELL MEDICAL CENTER LTC 25015 P.O. BOX 1081 WRANGELL AK 99929 2018-04-30 684 D 0 1 O8F911 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on record review and interview the facility failed to ensure 1 resident (#1) out of 1 resident with a cardiac pacemaker had necessary care and follow up of the device. This failed practice placed the resident at risk for undiagnosed heart rhythm irregularities, missed device changes or alerts and decreased heart health. Findings: Record review from 4/24-27/18, revealed Resident #1 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Review of the record revealed an EKG (a graphic record of the heart muscle rhythm) dated (MONTH) 19, (YEAR) with results .paced rhythm (a heart rhythm controlled by an internal pacemaker) . Further review revealed a Medtronic Device Identification card (a card with information for implanted medical device) that showed resident information with implant dates, serial and model numbers of the pacemaker and leads (wires attached to the heart muscle from the pacemaker device) in addition contact numbers for Medtronic were listed. Record review of Resident #1's Multi-Disciplinary Care Plan dated 2/7/18, revealed no documentation of the Residents pacemaker or monitoring of the device or implantation site. During an interview on 4/27/18 at 9:18 am, LN #4 stated he/she did not know of any special monitoring or equipment needed for care of a Resident with a pacemaker and was not aware of what provider or facility would be monitoring the pacemaker. During an interview at 4/27/18 at 11:50 am, Licensed Nurse (LN) #1 stated, he/she was not aware of any Resident who had any devices that would require any special care or monitoring. During an interview on 4/27/18 at 2:58 pm, the Chief Nursing Officer (CNO) stated she was not aware of any resident in the facility who had a pacemaker. The CNO further stated staff were unaware of a resident with a pacemaker or any care needed for monitoring the device or implant (surgical) site. 2020-09-01